Outpatient procedure · APC 5302 · Surgery or procedure

Level 2 Upper GI Procedures

In 2024, Medicare and patients paid an average of $1,815 per procedure at 1,991 hospitals. Half of hospitals averaged between $1,651 and $1,880.

Also known as: Upper endoscopy, EGD

National figures, 2024

Average payment per case: $1,815
Typical range (middle half of hospitals): $1,651–$1,880
Medicare’s share: $1,44580% of the payment
Average billed charge: $13,589
Hospitals reporting: 1,991208,333 procedures

Hospitals in Wisconsin

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Wisconsin

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Average payment across these 52 hospitals: $1,748National $1,815 · Wisconsin $1,748
Median hospital: $1,733
Lowest to highest: $1,648–$1,844
Medicare procedures: 4,716

52 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	25	$1,648	About average	$1,316	$10,510
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	38	$1,661	About average	$1,308	$10,689
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	56	$1,666	About average	$1,322	$7,045
Thedacare Regional Medical Center - NeenahNeenah, WI · CCN 520045	86	$1,671	About average	$1,316	$8,179
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	107	$1,678	About average	$1,335	$12,553
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	182	$1,690	About average	$1,350	$11,771
Aspirus Wausau HospitalWausau, WI · CCN 520030	118	$1,691	About average	$1,352	$9,234
West Allis Memorial HospitalWest Allis, WI · CCN 520139	47	$1,693	About average	$1,351	$15,438
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	81	$1,698	About average	$1,341	$8,296
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	17	$1,703	About average	$1,362	$9,110
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	41	$1,703	About average	$1,360	$9,866
Marshfield Medical Center - WestonWeston, WI · CCN 520202	40	$1,703	About average	$1,359	$9,418
Aurora Medical Center Manitowoc CountyTwo Rivers, WI · CCN 520034	14	$1,706	About average	$1,352	$11,949
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	31	$1,709	About average	$1,367	$9,102
Oakleaf Surgical HospitalAltoona, WI · CCN 520196	57	$1,710	About average	$1,373	$5,767
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	46	$1,710	About average	$1,358	$7,619
Holy Family MemorialManitowoc, WI · CCN 520107	22	$1,711	About average	$1,375	$13,685
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	71	$1,714	About average	$1,362	$10,841
Mercy Health System CorpJanesville, WI · CCN 520066	173	$1,716	About average	$1,386	$9,676
Aurora Medical CenterGrafton, WI · CCN 520207	90	$1,717	About average	$1,371	$14,985
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	87	$1,718	About average	$1,361	$9,315
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	195	$1,718	About average	$1,364	$8,365
Froedtert South Inc.Kenosha, WI · CCN 520021	62	$1,722	About average	$1,354	$9,959
St Nicholas HospitalSheboygan, WI · CCN 520044	31	$1,732	About average	$1,383	$11,513
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	11	$1,733	About average	$1,389	$14,197
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	14	$1,733	About average	$1,387	$11,949
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	100	$1,733	About average	$1,380	$14,301
Sauk Prairie HospitalPrairie Du Sac, WI · CCN 520095	29	$1,735	About average	$1,393	$7,445
Marshfield Medical Center - Beaver Dam (Mmc-Bd)Beaver Dam, WI · CCN 520076	20	$1,735	About average	$1,382	$13,536
Aurora Medical Center - SummitSummit, WI · CCN 520206	25	$1,735	About average	$1,380	$9,035
Aurora Medical Center Washington CountyHartford, WI · CCN 520038	11	$1,735	About average	$1,373	$11,293
Howard Young Medical CenterWoodruff, WI · CCN 520091	19	$1,747	About average	$1,396	$8,585
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	212	$1,748	About average	$1,386	$16,110
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	145	$1,757	About average	$1,397	$9,497
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	95	$1,759	About average	$1,402	$20,647
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	23	$1,760	About average	$1,402	$9,637
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	741	$1,761	About average	$1,400	$11,980
The Monroe ClinicMonroe, WI · CCN 520028	25	$1,776	About average	$1,439	$9,605
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	14	$1,776	About average	$1,434	$8,901
UnityPoint Health - MeriterMadison, WI · CCN 520089	127	$1,776	About average	$1,416	$10,526
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	305	$1,781	About average	$1,417	$17,889
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	154	$1,783	About average	$1,421	$10,487
SSM Health St Mary's Hospital - JanesvilleJanesville, WI · CCN 520208	65	$1,789	About average	$1,432	$6,584
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	98	$1,789	About average	$1,430	$12,537
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	30	$1,789	About average	$1,429	$12,464
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	113	$1,790	About average	$1,437	$13,114
Ascension All Saints HospitalRacine, WI · CCN 520096	36	$1,790	About average	$1,432	$7,503
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	36	$1,791	About average	$1,424	$7,891
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	224	$1,799	About average	$1,438	$9,312
Beloit Health SystemBeloit, WI · CCN 520100	148	$1,816	About average	$1,469	$18,908

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 186,493 procedures at 2,033 hospitals · 2021: 203,386 procedures at 2,103 hospitals · 2022: 198,293 procedures at 2,035 hospitals · 2023: 202,554 procedures at 2,007 hospitals · 2024: 208,333 procedures at 1,991 hospitals

View data as a table

National average payment and billed charge for Level 2 Upper GI Procedures
Year of care	Average payment	Average billed charge
2020	$1,545	$11K
2021	$1,624	$11K
2022	$1,646	$12K
2023	$1,719	$13K
2024	$1,815	$14K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 2 Upper GI Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	377	$1,027	$845–$993
Mississippi	27	1,517	$1,477	$1,550–$1,595
Alabama	43	4,221	$1,560	$1,518–$1,586
Louisiana	32	2,348	$1,585	$1,580–$1,599
Tennessee	41	4,358	$1,593	$1,566–$1,621
West Virginia	17	1,850	$1,594	$1,551–$1,613
Ohio	88	8,558	$1,607	$1,602–$1,657
South Carolina	39	4,850	$1,625	$1,601–$1,643
Oklahoma	36	3,876	$1,632	$1,608–$1,654
Arkansas	23	1,701	$1,633	$1,605–$1,713
Iowa	24	2,336	$1,637	$1,628–$1,735
Kentucky	44	3,946	$1,639	$1,604–$1,680
Kansas	29	3,078	$1,651	$1,620–$1,726
Missouri	50	6,250	$1,657	$1,645–$1,713
Utah	24	2,774	$1,674	$1,659–$1,704
Michigan	63	5,044	$1,680	$1,658–$1,725
Texas	147	13,129	$1,687	$1,651–$1,732
North Carolina	62	6,724	$1,687	$1,656–$1,708
Georgia	69	5,427	$1,689	$1,616–$1,754
Virginia	53	7,105	$1,691	$1,631–$1,760
Nebraska	16	1,614	$1,699	$1,672–$1,723
Florida	132	13,872	$1,708	$1,706–$1,724
Indiana	56	5,387	$1,712	$1,691–$1,734
New Mexico	13	914	$1,729	$1,657–$1,775
Maine	11	1,038	$1,741	$1,678–$1,782
Wisconsin	52	4,716	$1,748	$1,708–$1,776
Pennsylvania	87	9,237	$1,762	$1,699–$1,820
Idaho	12	1,421	$1,765	$1,712–$1,831
Illinois	84	9,354	$1,792	$1,758–$1,822
North Dakota	6	1,160	$1,794	$1,761–$1,857
South Dakota	7	1,422	$1,801	$1,759–$1,900
Montana	9	1,328	$1,811	$1,769–$1,874
Colorado	36	3,352	$1,819	$1,803–$1,811
New Hampshire	13	2,049	$1,858	$1,805–$1,894
Wyoming	7	210	$1,859	$1,892–$1,911
Arizona	38	4,351	$1,861	$1,833–$1,856
Minnesota	28	4,454	$1,861	$1,792–$1,826
Delaware	5	721	$1,902	$1,896–$1,909
District of Columbia	5	1,155	$1,918	$1,910–$1,942
Rhode Island	8	696	$1,919	$1,918–$1,931
Washington	42	4,083	$1,935	$1,897–$2,000
Alaska	5	323	$2,004	$1,964–$2,103
New Jersey	49	4,740	$2,013	$1,992–$2,111
Oregon	21	1,674	$2,019	$1,971–$2,011
Nevada	14	807	$2,030	$2,007–$2,038
Massachusetts	49	8,033	$2,031	$2,019–$2,043
New York	87	10,807	$2,088	$2,017–$2,141
Connecticut	21	2,140	$2,108	$2,093–$2,141
Hawaii	7	441	$2,151	$2,136–$2,266
California	154	17,365	$2,420	$2,335–$2,439

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.